Premere Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PREMERE REHAB LLC

Practice address

10401 W Charleston Blvd
Las Vegas, NV 89135-1151

Phone

(702) 207-4242

Fax

(866) 728-9636

NPI assigned

Feb 15, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura Cantrell

Title

Director of Outpatient Services

Phone

(360) 901-8111

Specialties & licenses 3

Addresses

Other names 1

• Infinity Rehab LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Premere Rehab LLC

  • Physical Therapist
  • Henderson, NV
  • NPI 1235821307

  O20110509000722

  Same enrollment
• Premere Rehab LLC

  • Physical Therapist
  • Henderson, NV
  • NPI 1932406675

  O20110509000722

  Same enrollment
• Premere Rehab LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1932828316

  O20110509000722

  Same enrollment
• Premere Rehab LLC

  • Physical Therapist
  • Wilsonville, OR
  • NPI 1245278639

  O20110509000722

  Same enrollment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1922305663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WIGWAM PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746182",
            "telephone_number": "702-260-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351151",
            "telephone_number": "702-207-4242",
            "fax_number": "866-728-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMERE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DIRECTOR OF OUTPATIENT SERVICES",
        "authorized_official_telephone_number": "360-901-8111"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinity Rehab LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jaclyn Prell, PMHNP
• Natalie Prelutsky
• Premere Rehab LLC
• Premier Access Transportation, LLC
• Premier Behavioral Healthcare
• Premier Care Hospice LLC
• Premier Care Medical Group LLC

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.